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Application

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Last Name:*
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First Name:*
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Middle Initial:*
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Street Address:*
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City:*
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State:*
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Zip:*
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Phone Number:*
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Alternative Phone Number:
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E-mail Address:*
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Please Re-type Email Address:*
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Position applying for:
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Salary Desired:*
Please enter your desired salary.

Last 5 digits of your Social Security number:*
Please enter the last 5 digits of your social security number.

Today's Date:*
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How did you hear about us?
How did you hear about us?

Birthdate:*
How enter your birthdate.


Person you are meeting with:
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Did you bring samples:

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Are you testing with us?

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If yes, check one:

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Are you 18 years of age or older?*

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If hired, can you provide written evidence that you are authorized to work in the U.S.?

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You may wait to respond to the questions below until an interview is confirmed:

Have you ever been convicted of a felony?

Please select one.

If YES, give date, place, offense and outcome (previous convictions do not necessarily disqualify an applicant from employment).
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Employment History

Please list your most recent employer first. It is important that all information be accurate and complete. Creatis may contact for employment verification purposes.

If you have no previous employment history, please check "None".

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Employer 1

Company:*
Please enter company name.

Your Title:*
Please enter your title.

Your Responsibilities:*
Please enter your responsibilities with the company.

Supervisor Name:*
Please enter your supervisor's name.

Supervisor Title:*
Please enter your supervisor's title.

Phone Number:*
Please enter your supervisor's phone number.

Supervisor's E-mail:*
Please enter your supervisor's e-mail address.

Reason for leaving:*
Please tell us your reason for leaving.

Beginning Salary:*
Please enter your beginning salary.

End Salary:*
Please enter your ending salary.


Employer 2

Company:*
Please enter company name.

Your Title:*
Please enter your title.

Your Responsibilities:*
Please enter your responsibilities with the company.

Supervisor Name:*
Please enter your supervisor's name.

Supervisor Title:*
Please enter your supervisor's title.

Phone Number:*
Please enter your supervisor's phone number.

Supervisor's E-mail:*
Please enter your supervisor's e-mail address.

Reason for leaving:*
Please tell us your reason for leaving.

Beginning Salary:*
Please enter your beginning salary.

End Salary:*
Please enter your ending salary.


Employer 3

Company:
Please enter company name.

Your Title:
Please enter your title.

Your Responsibilities:
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Supervisor Name:
Please enter your supervisor's name.

Supervisor Title:
Please enter your supervisor's title.

Phone Number:
Please enter your supervisor's phone number.

Supervisor's E-mail:
Please enter your supervisor's email.

Reason for leaving:
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Beginning Salary:
Please enter your beginning salary.

End Salary:
Please enter your ending salary.


Employer 4

Company:
Please enter company name.

Your Title:
Please enter your title.

Your Responsibilities:
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Supervisor Name:
Please enter your supervisor's name.

Supervisor Title:
Please enter your supervisor's title.

Phone Number:
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Supervisor's E-mail:
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Reason for leaving:
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Beginning Salary:
Please enter your beginning salary.

End Salary:
Please enter your ending salary.

 

References

Please list your references. It is important that all information be accurate and complete. Creatis may contact for employment verification purposes.


Reference 1

Name:*
Please enter name.

Employer:*
Please enter reference's employer.

Reference's Position or Title:*
Please enter position.

Relationship:*
Please enter your relationship.

Years Known:*
Please enter years known.

Phone Number:*
Please enter reference's phone number.

Reference's E-mail:*
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Reference 2

Name:*
Please enter name.

Employer:*
Please enter reference's employer.

Reference's Position or Title:*
Please enter position.

Relationship:*
Please enter your relationship.

Years Known:*
Please enter years known.

Phone Number:*
Please enter reference's phone number.

Reference's E-mail:*
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Reference 3

Name:
Please enter name.

Employer:
Please enter reference's employer.

Reference's Position or Title:
Please enter position.

Relationship:
Please enter your relationship.

Years Known:
Please enter years known.

Phone Number:
Please enter phone number.

Reference's E-mail:
Please enter your supervisor's email.


Reference 4

Name:
Please enter name.

Employer:
Please enter reference's employer.

Reference's Position or Title:
Please enter position.

Relationship:
Please enter your relationship.

Years Known:
Please enter years known.

Phone Number:
Please enter phone number.

Reference's E-mail:
Please enter your supervisor's email.

 

Skills

Check all that apply.


General Areas Of Expertise

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Software

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Hardware

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Other
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Language/Other

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Applicant's Statement


I understand that Creatis, Inc. follows an “employment at will” policy, in that I or Creatis may terminate my employment at any time, or for any reason consistent with applicable state or federal law. This “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the president of Creatis. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity. Failure to submit such proof will result in denial of employment.

I understand this application will be active for a period of one year; after that time, if I wish to be considered for employment, I must submit a new application.

I understand that Creatis will thoroughly investigate my work and personal history and verify all dates given on this application, on related papers and in interviews. I authorize all individuals, schools and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I certify that all statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

*

You must agree in order to submit your application.

Please enter your Full Name as a confirmation that you agree to the Applicant's Statement.*
Please enter your full name.


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